Read Any Orthopaedic X-ray in 30 Seconds
Most students look at an X-ray and immediately ask:
“Sir, what is the diagnosis?”
Instead, ask these 5 questions:
1️⃣ Is it the correct X-ray?
Which bone?Which side?Which view?
Never start interpreting before orienting yourself.
2️⃣ Is there a fracture?
Look carefully at:
• Cortex
• Joint surfaces
• Alignment
Follow the bone completely from one end to the other.
3️⃣ If there is a fracture, where is it?
Think:
📍 Proximal
📍 Middle
📍 Distal
Then ask:
📍 Extra-articular?
📍 Intra-articular?
4️⃣ What is the pattern?
Ask:
• Transverse?
• Oblique?
• Spiral?
• Comminuted?
The fracture pattern often reveals the mechanism of injury.
5️⃣ What could I miss?
Always check:
✅ Joint dislocation
✅ Neurovascular risk
✅ Additional fractures
✅ Open injury clues
🎯 The 30-Second Rule
Don’t memorize fractures.
Learn a system.
A system works on every X-ray.
Memorization works on only one.
🦴 Clinical Pearl
The most dangerous mistake in Orthopaedics is not missing the fracture.
It’s stopping after finding the first one.
What is the most difficult X-ray you’ve ever had to interpret?
Drop it below. 👇
— Dr Arnav Kadian
Life in Orthopaedics
Where Healing Meets Movement 🦋
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Arnav Kadian
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Read Any Orthopaedic X-ray in 30 Seconds
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